| NPI | 1831257138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 49210) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 49210) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 49210) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 49210) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-04 |